Shamrock General Hospital | |
1000 S Main St Shamrock TX 79079-2820 | |
(806) 256-2114 | |
(806) 256-2423 |
Full Name | Shamrock General Hospital |
---|---|
Speciality | General Acute Care Hospital - Critical Access |
Location | 1000 S Main St, Shamrock, Texas |
Authorized Official Name and Position | Wiley M Fires (ADMINISTRATOR/CEO) |
Authorized Official Contact | 8062562114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shamrock General Hospital 1000 S Main St P.o. Box 511 Shamrock TX 79079-2820 Ph: (806) 256-2114 | Shamrock General Hospital 1000 S Main St Shamrock TX 79079-2820 Ph: (806) 256-2114 |
NPI Number | 1538150370 |
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Provider Enumeration Date | 11/01/2005 |
Last Update Date | 04/30/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538150370 | NPI | - | NPPES |
0921793-01 | Medicaid | TX | |
0921793-02 | Medicaid | TX | |
1211930-05 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 571 (Texas) | Secondary |
282NC0060X | General Acute Care Hospital - Critical Access | 571 (Texas) | Primary |
Romeo B Sangalang Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 S Main St, Shamrock, TX 79079 Phone: 806-256-1242 |